Chautauqua County continues Medicaid investigation after efforts uncover
system abuse
HORSEHEADS, N.Y., May 12 /PRNewswire/ -- Medicaid eligibility topped more than 4 million in New York State in 2007. With so many recipients and providers involved, the New York State Department of Health is committed to eliminating any cases of fraud, waste, and abuse.
Over the last two years, Salient Corporation, provider of the world's most advanced performance management technology, has helped seven New York State counties uncover thousands of cases of Medicaid fraud, waste, and abuse. Two additional counties are also in the process of contracting and implementing the solution.
Chautauqua County was the seventh New York County to contract for Salient's performance management solution to manage Medicaid. In just eight months since it implemented its Medicaid investigation, it has identified several potential instances of provider fraud, validating this project's continued existence.
Other statewide counties using the system include: Albany, Chemung, Monroe, Onondaga, Broome, and Ulster; and it will soon be implemented and running in the New York City-Long Island counties of Nassau and Suffolk.
The Salient solution provides counties with near real-time, interrogative access to transactional as well as select non-transactional program data, enabling them to immediately identify opportunities for cost savings and operation efficiency, and to detect questionable activity. In addition, for the first time, it has enabled these counties to have a complete view of the activities of all of their providers and recipients so that they can identify behavior patterns and work with the providers and recipients to improve the quality of service while reducing costs.
"We use the Salient system to identify and track providers who may be
audited based on questionable activities," said Greg Edwards, Chautauqua
County E
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